In these cases of psychologically acquired homosexuality, both the visionary and olfactory senses sometimes play a conspicuous part. The invert will imagine unpleasant odors about himself; odors of decomposed flesh, urine or faeces; and will frequently attribute such to "inward pollutions;" while in the cases of fetichism, or sexual attraction toward some article of dress, or part of the body, it is not difficult to trace the influence of vision. I have known male patients, suffering from these Bex-hallucinations to resent being addressed as men, asserting that they were women; and not infrequently will the fancies of such lead them to believe that they are prostitutes, or pregnant, or, as women, to perform all the female movements of intercourse in bed.

They think, feel, act, as women; lisp, affect women's airs, say "Oh my," and protest they cannot associate with men who drink and smoke, asking to be placed in the female ward of the hospital.